Active NPI
Agostinho M. Oliveira, D.C.
- Chiropractor
- St Augustine, FL
National Provider Identifier
1285729871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9245
- Practice address
- 163 Hampton Point Dr
Suite 4
St Augustine, FL 32092-3059 - Phone
- (904) 230-2717
- Fax
- (904) 230-2720
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH9245 | FL | Primary |
| Chiropractor | 111N00000X | X008831-1 | NY | |
| Chiropractor | 111N00000X | 0104555764 | VA |
Addresses
Primary practice location
163 Hampton Point Dr
Suite 4
St Augustine, FL 32092-3059
Mailing address
163 Hampton Point Dr
Suite 4
St Augustine, FL 32092-3059
Phone (904) 230-2717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
163 Hampton Point Dr
Suite 4
St Augustine, FL 32092-3060
Phone (904) 230-2717
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH9245 | FL | MD | Chiropractor |
| X008831-1 | NY | MD | Chiropractor |
| 0104555764 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 210 Family Chiropractic Center LLC | Chiropractor | Current | Accepting new patients |
Locations
163 Hampton Point Dr
Ste 4
Saint Augustine, FL 32092
Phone (904) 230-2717
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242345600000",
"number": "1285729871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 HAMPTON POINT DR",
"address_2": "SUITE 4",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320923059",
"telephone_number": "904-230-2717",
"fax_number": "904-230-2720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 HAMPTON POINT DR",
"address_2": "SUITE 4",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320923059",
"telephone_number": "904-230-2717",
"fax_number": "904-230-2720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVEIRA",
"first_name": "AGOSTINHO",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2009-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9245",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X008831-1",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104555764",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.